High-Level Communique



We, participants: panafrican parliamentarians, presidents and members of Regional and National Assemblies, presidents and members from the Senates, ministers of health and finance, technical and financial partners, private sector, civil society across Africa, met under the auspices of His Excellency Denis Sassou Nguesso, President of the Republic of Congo, on the 11th and 12th  July 2019 in Brazzaville to underscore the need for increased domestic financing for Health and HIV, review the progress and challenges faced in that regard, and to formulate collective ways-forward to improve health outcomes of our citizens;


  1. Considering the need for a sustainable financing for health in Africa, especially domestic investment in the light of Africa Leadership Meeting-Investing in Health of the 10th and 11th of February 2019, held in Addis Ababa and subsequent African Union Assembly Declarations while addressing the diseases of highest burden such as HIV and AIDS;


  1. Considering the need of high-level advocacy to support the forthcoming Global Fund replenishment in October 2019;


  1. Considering the need to achieve Universal Health Coverage goals and to accelerate progress towards monitoring the improvements of the health outcomes in African Union Member States in general, and particularly HIV/AIDS epidemic, Malaria and TB through innovative partnerships.


During the High-Level Pan-African Summit, which was hosted by H.E. Denis Sassou Nguesso, President of the Republic of Congo, we adopted the present Communique:


We resolve to:

  1. Ensure the progressive and effective implementation of the African Union Declarations adopted following the “African Leadership Meeting: Investing in Health” at the 32nd Ordinary Session of the Assembly of Heads of State and Government of the African Union (AU)  (more specifically Assembly/AU/Decl.1 (XXXII) and Conference / AU / Decl.4 (XXXII) Declaration of the Africa Leadership Meeting- Investing in Health “Addis Ababa Commitments towards shared responsibility and global solidarity for increased health financing”) (10th-11th February 2019, Addis Ababa)


  1. Follow up on commitments made at the High-Level Pan-African Summit on HIV and Health Financing on the 11th and 12th July 2019, in Brazzaville;


  1. Build and enhance the capacity of parliamentarians and their networks to effectively monitor international funding commitments;

We urge African Union Member States to:

  1. Implement, progressively and effectively, the Resolution on the role of parliamentarians on realising the right to health and achieving health targets in Africa adopted by the Panafrican Parliament (PAP.4/PLN/RES/01/MAY.18) and the decisions of AU Assembly 2019 that endorsed the outcomes of the Africa Leadership Meeting: Investing in Health (specifically, Assembly/AU/Decl.4 (XXXII)[1] (February 2019);


  1. Strengthen political commitment and accountability to frontload investments to strengthen national health systems, end the AIDS epidemic, TB and Malaria and provide long-term domestic resources needed to achieve the HIV targets and health goals, grounded in principles of inclusivity, transparency and accountability, with the full participation of the communities, civil society;


  1. Advocate for the increase in domestic investments in health at rates in line with economic growth and government budget, tracking progress with consideration of the indicators of the Africa Scorecard on Domestic Financing for Health developed by the African Union;


  1. Support the expansion of the fiscal space by strengthening national public financial management (PFM) capacity in order to improve tax collection and/or increase the proportion of tax revenue collected as a percentage of GDP, through equitable and efficient general taxation and improved revenue collection. Ministries of finance and tax revenue authorities should be strengthened to achieve this;


  1. Advocate for innovative funding mechanisms and solutions for transitioning HIV-specific funding sources to mainstream health financing mechanisms, as many countries are moving towards Universal Health Coverage ;


  1. Urge governments to systematically analyze the future costs of HIV treatment in order to plan for the long term, while reflecting on innovative domestic funding opportunities, as well as health insurance coverage for HIV and social security;


  1. Ensure effective and multi-sectorial coordination among relevant ministries to ensure strategic resource planning and effective disbursements for health program implementation;


  1. Recognise that bringing the elimination of the diseases of higher burden in our countries is a prerequisite for the long-term sustainability of health programmes and that ending AIDS, TB and Malaria as public health threats by 2030 is a Social Development Goal (SDG) for country health investments and an aspiration of the Agenda 2063;


  1. Reinforce accountability mechanisms for Country Results: Use the mandate of voting health budgets and holding governments accountable to progressively and effectively increase domestic resources for health, a multi-sectorial AIDS response and community-led programmes; promote principles of good governance and accountability to ensure transparency and management of funds


  1. Launch a debate on the advantages and risks related to the investments in a local production of essential medicines leveraging the Continental Free Trade Area (AfCFTA), taking into account the local technological and regulatory capacities, and opportunities for cost reductions and projections of the future needs for treatment.


  1. Foster greater cooperation between the public and private sectors to create synergies for accelerating progress towards the 2020 Fast-Track Targets and Universal Health Coverage with a view to deliver sustainable, effective, efficient and equitable health for all;


  1. Remove legal barriers, policies and practices that hinder access to comprehensive HIV and health services and promote policies that are gender-responsive that are free from stigma and discrimination for vulnerable and marginalized populations;


  1. Renew the call for global solidarity to support countries in achieving the goals of the 2016 Political Declaration on AIDS, Universal Health Coverage and Social Development Goals and the African Union Catalytic Framework to end AIDS, TB; and Eliminate Malaria in Africa by 2030;


  1. Urge the governments and Members of Parliaments in our respective countries to support the forthcoming Sixth Replenishment of the Global Fund to Fight AIDS, Tuberculosis and Malaria [October 2019] in order that it meets the replenishment target of at least $14 billion. As this replenishment is critical for the success of the HIV response and the objectives for UHC and the SDGs, African countries that can contribute are encouraged to pledge towards this ambitious target.


Adopted in Brazzaville on the 12th July 2019



[1] AU/Decl.4 (XXXII) Declaration of the Africa Leadership Meeting- Investing in Health “Addis Ababa Commitments towards shared responsibility and global solidarity for increased health financing”